Outpatient Coding Compliance Auditor

GeBBS Healthcare Solutions, Inc.; United States; A distancia; USD 41.000 - 58.000; A tiempo parcial

Ventajas ofrecidas por este puesto de trabajo

Supplied Equipment

Sick Time

Opportunities for Professional Growth

Fully Remote Work Environment

Descripción de la vacante

GeBBS Healthcare Solutions, Inc. is seeking a Remote Part-Time Outpatient Coding Compliance Auditor to perform comprehensive audits of acute care outpatient facility coding.

The ideal candidate will ensure accuracy, regulatory compliance, and proper reimbursement while reviewing CPT, ICD-10-CM, HCPCS Level II codes and modifiers. Qualified candidates bring 4+ years of outpatient coding experience, CCS/RHIA/RHIT credentials, and proficiency with Epic EHR and iCodeOne.

Formación

• 4+ years of acute care outpatient facility coding experience
• Expertise in ICD-10-CM, CPT, HCPCS Level II and outpatient coding guidelines
• Experience auditing outpatient facility encounters, procedures, and documentation

Responsabilidades

• Conduct comprehensive audits of acute care outpatient medical records to validate ICD-10-CM, CPT, HCPCS Level II and modifier assignments
• Review outpatient facility services and documentation for coding accuracy and completeness
• Identify coding discrepancies, compliance risks, and reimbursement opportunities

Conocimientos

Analytical thinking

Communication

Written reporting

Independent work

Remote collaboration

Educación

CCS/RHIA/RHIT credential

Herramientas

Epic EHR

iCodeOne

Coding audit platforms

Descripción del empleo

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance.

At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare.

Remote (United States) | Part-Time (20 hours/week)

Work Hours: Weekdays between 6:00 AM–6:00 PM PT

Position Overview

GeBBS Healthcare Solutions is seeking an experienced Outpatient Coding Compliance Auditor to join our remote team!

In this role, you'll perform comprehensive audits of acute care outpatient facility coding to ensure accuracy, regulatory compliance, and appropriate reimbursement.

The ideal candidate has strong expertise in ICD-10-CM, CPT, HCPCS Level II, and outpatient coding guidelines , along with experience identifying coding discrepancies, evaluating documentation, and providing education to support coding quality and compliance.

If you enjoy analyzing complex coding scenarios, identifying opportunities for improvement, and helping coding teams succeed, we'd love to hear from you!

What You'll Do

• Conduct comprehensive audits of acute care outpatient medical records using iCodeOne to validate accurate ICD-10-CM, CPT, HCPCS Level II, and modifier assignment.
• Review outpatient facility services, procedures, and clinical documentation to ensure coding accuracy and completeness.
• Evaluate coding practices for compliance with CMS, OIG, AHIMA, AAPC, payer-specific, and client requirements.
• Review outpatient reimbursement accuracy, including OPPS, APC assignments , and applicable Medicare guidelines.
• Identify coding errors, documentation gaps, compliance risks, and reimbursement opportunities.
• Prepare detailed audit reports outlining findings, recommendations, and corrective actions.
• Collaborate with coding leadership, clinical teams, and operational departments to resolve discrepancies and improve documentation quality.
• Provide individualized and group education to coders based on audit findings and regulatory updates.
• Analyze coding quality trends and recommend strategies to improve accuracy, compliance, and overall performance.
• Stay current on outpatient coding guidelines, CPT and HCPCS updates, Medicare reimbursement methodologies, and regulatory requirements.

What You Bring

• 4+ years of acute care outpatient facility coding experience , including coding quality or compliance auditing.
• Demonstrated expertise in ICD-10-CM, CPT, HCPCS Level II, and modifiers – Required.
• Active CCS, RHIA, or RHIT credential.
• Strong understanding of OPPS, APC reimbursement methodologies , Medicare guidelines, and outpatient coding compliance.
• Experience auditing outpatient facility encounters, procedures, and documentation accuracy.
• Ability to identify coding discrepancies, compliance risks, and reimbursement opportunities.
• Strong analytical, communication, and written reporting skills.
• Experience providing coding feedback, education, and quality improvement recommendations.
• Ability to work independently and collaborate effectively with remote teams.
• Proficiency with Epic EHR.

Preferred Qualifications

• Bachelor's degree in Health Information Management, Healthcare Administration, or a related field (or equivalent experience).
• Experience using iCodeOne or similar coding audit platforms.
• Experience auditing multiple outpatient service areas, such as emergency department, observation, same-day surgery, or ancillary services.

Why GeBBS?

At GeBBS, we're passionate about helping healthcare organizations improve financial performance through innovation, quality, and exceptional client service. You'll work alongside experienced professionals in a collaborative, remote-first environment where your expertise is valued.

We offer:

• Supplied Equipment
• Sick Time
• Opportunities for Professional Growth & Career Development
• Fully Remote Work Environment

Compensation:

$36.00 per hour during production

The pay range for this role is:

36 - 36 USD per hour (Remote (United States))